If you are using insurance to pay for services, you must fill out the required documents online. These must be completed prior to your initial session. Please speak with your therapist about this process and to obtain your logon ID and initial password. To gain access to the e-records system, go to my Client Login page and follow the instructions about filling out the required documents.
If you are not using insurance, you have the option of using the online documents system, or you may print the forms listed below and bring those (completed) forms with you to your initial session. If you would like to fill out the documents online, please speak with your therapist to obtain your logon ID and initial password. To gain access to the e-records system, go to my Client Login page, and follow the instructions about filling out the required documents.
If you are not sure which to use, or you have questions, please be sure to discuss with you therapist.
- Office Policies and Procedures, Please sign and bring the last page only of this document.
- Client Intake Form
- Personal History
- Notice of Policies & HIPAA, Please sign and bring the last page only of this document.
- Consent for Contact
- Confidentiality and Cancellation Policy
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
For couples coming in for your first visit, please complete the following form and bring it to your first session.
|Couple's Information Form|
|Client Intake Form|
|Office Policies and Procedures|
|Consent for Contact|
|Notice of Policies & HIPAA|
|Confidentiality and Cancellation Policy|
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